CERTIFICATE OF LIABILITY INSURANCE (7)
.-.--
J ~I ' 21. 2005
4:18PM
STAHL & ASSOCIATES INSURANCE
No,2227
P, 2
PROOUCER (727) 391-9791
S~ahl and Associatea,Inc_
8200 Sem~nole Blvd.
FAX (7:;17) 393-SEi.23
OAT&(MWDDIVVYV)
7/21/.2005
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFI,;RS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICA. TE DOES NOT AMEND, EXTeND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
ACORDTM
CERTIFICATE OF LIABILITY INSURANCE
Seminole
INSURED
'Crabby Bi.ll · s Clearwater Beach
Clearwater Beach Seafood, Inc..
PO Box 99
Indian Rooks Beaoh FL 33785
"COVERAGES
FL 33772
INSURERS AFFORDING COVERAGE;
INSURERA: Firemans Fund 11"1$. Co.
INSURER B:
INSURER C:
INSlIRER D:
INSURER E:
NAIC.,
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
AGGREGATE 1.IMJTS SHOWN MAY HAVE BEI:N ~EOUCED 8Y PAID ClAIMS,
\~ ~~ ~~~~~r:~ POUCYIf'PIRA TlON l.IMITS
TYPE OF INSURANCE POLICY NUMBER DATEMMIDDIYY)
GENERAL LIABlI.J'I'V EACH OCCURRENCE . 1.,000,000
f---- ~~~U?E~~~llCel
X COMMl;RClAL GlrNERAL LIABILITY $ 100,000
A X J CLAlMS MADE [!] OCCUR Ml3XBOB30898 7/20/2005 7/20/2006 ME!) EXP IAny """ get!lOOI $ 5,000
PERSONAL & ADV INJURY $ 1.,000,000
GENERAL AGGRE('.ATE . :a,OOO,ooo
~'LAGGRnUMlT nES f"l:R: PRODUCTS-COM~OPAGG $ 2,000,000
X POLICY ~~& LOC
AlITOMOBILE L.IABlLI'1Y COMBINED SINGLE LIMIT
- lEa aCCldenU $
- ANY AUTO
- ALL OWNED AuTOS BOOIL'Y INJURY
(Pc, pcrr..'m> $
- SCI-lGDULED AUTOS
- I-lIR[lD AUTOS BODILY INJURY $
NON-Q'M'lEO AUTOS (Per acc:klenU
-
~ PROPERTY DAMAGE $
(Per ..ccidlenI)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
~ ANY AUTO OTHER THAN EAACC $
AlITO ONLY: AGG $
5XCESS/UMBRELIA UABlUTY EACH OCCURRENCE $
tJ OCCUR o CLAIMS MADE AGGREGATE $
.
=i OEiDUCTIBLE $
RETEN'nON $ $
WORKERS COMPENSATION AND I ~~I~Ws I IOTH-
EMPLOVERS'L~UTY ER
ANY PROPRIETOR/PARTNER/~CUTlVE El.L EACH ACCIDENl $
OFFICERlMEMaliR EXCLIJDl:D? t:.L. OISEASF. . EA E;:MPLOYEE $
If yw, dl"1<;rig" und~ -
SPECIAL PROVISIONS below E.L DISEASE - pOliCy LIMIT .
OTHER .
I 'OESCRlPTlON OF OPEM TlONSIlOCATlONSNEHICLESlEXCLUSlONS ADDeD IlY ENDORSEI/IENTJSIIEClAL pROvISIONS
I
I
CERTlFICA TE HOLDER
City of Clearwater
~ Risk Management
PO Box 4748
Clearwate~, FL 34618
CANCELI.A TION
SHOULD A~ OF THIO ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE
EXPlRATlON DATE THEREOf', THE IS$UING INSURER WILL ElNOEAVOR TO MAIL
~ DAYS WRITTEN NOTl(:E TO THE CERTIFICATE HOLDER NAMEtJ TO THE LEFT, BUT
FAILURe TO DO so SHALL IMPOSE NO OBLIGATION OR UA8lLlTY OF ANY KIND UPON THE
INSURE ITS AGENTS OR REPRESENrATlVES.
AUi'HORtZED IU'P~E NT. E
TION 1988
ACORD 25 (2001/08)
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